The home failed to provide enough food and fluids to keep residents healthy. Cited April 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
SHIRKEY NURSING AND REHABILITATION CENTER
RICHMOND, MO · Medicare-certified · 197 beds
In good standing
Government-run
Data as of July 1, 2026
3 of 5 overall
Shirkey Nursing and Rehabilitation Center has an overall 3-star rating, with 3-star health inspection and staffing scores and a 4-star quality measures score. Reported nurse staffing is 4.08 hours per resident per day, just below the federal benchmark of 4.1, with $0 in recent fines and recent inspection citations related to food and the quality assurance process.
Facility ratings
Health inspections
Staffing
4.0843 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0843.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.94
- Nurse aides
- 2.79
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 64%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.3%9.8%Worsening
Residents with a fall causing major injury
2.6%0%Improving
Residents with pressure ulcers (bedsores)
2.8%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.3%1.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.7%13.4%Worsening
Residents whose ability to walk got worse
2.2%9.3%Worsening
Long-stay residents on antianxiety or sleep medication
17.7%30.9%Worsening
Short-stay residents newly given an antipsychotic
4.8%0%Improving
Residents with a long-term catheter
0%1.1%Worsening
Residents with new or worsening incontinence
8.8%16%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
98.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—72.2%—
Short-stay residents given the pneumonia vaccine
74.3%84.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited April 2024 — widespread issue, potential for harm.
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F-Tag 868 — 42 CFR §483.75 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2025 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 94.5 residents on an average day (48% of 197 beds)
- Medicare history
- Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.